Om Comprehensive Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OM COMPREHENSIVE SERVICES LLC

Doing business as

Hometown Pharmacy - Kermit

Practice address

900 Myer LN # a
Kermit, TX 79745-4621

Phone

(432) 309-5160

Fax

(432) 309-5161

NPI assigned

Jul 15, 2021

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Ayileka

Title

Pharmacist

Phone

(432) 309-5160

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hometown Pharmacy - Kermit Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omoshola Benardinah Kehinde

  • Pharmacist
  • Monahans, TX
  • NPI 1285461723
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1528630746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MYER LN",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454621",
            "telephone_number": "432-309-5160",
            "fax_number": "432-309-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MYER LN # A",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454621",
            "telephone_number": "432-309-5160",
            "fax_number": "432-309-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM COMPREHENSIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "AYILEKA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "432-309-5160"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150497",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy - Kermit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Pharmacy - Kermit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reana Lopez
• Lorina P Lujan, PA
• Hileen E Mallory, PA
• Mekason Pharmacy Big Spring , Inc (Mekason Pharmacy)
• James Paul Moody, MD
• Pay and Save Inc (Lowes Marketplace Pharmacy)
• Dana Lynn Pena, LVN
• Ryan Phillips
• Wallace L Phillips, O.D.
• Abigail Canava Quiroz, FNP

• Community/Retail Pharmacy in Kermit, TX
• Providers in Kermit, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.